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This project will contribute to reducing maternal and child deaths within a total population of 18,000 living in poverty in the Karnali Region, West Nepal. Poor health is linked to malnutrition and lack of access to health services; we will improve access to nutritious foods and basic health services, specifically for mothers and children (but also everyone else in the community). Support to government health services, health education and work with women’s groups will ensure people have access to and use health services appropriately and attend early with treatable illness; preventative services will help reduce illness. Food security will be improved through seed and stock distribution, access to better stud goats and training for male and female farmers in animal fodder production, soil management, irrigation methods and vegetable / vegetable seed production. ;